location
search-icon
institution
Active Life, Llc
Prosthetic/Orthotic Supplier in Glendale, California
NPI 1215983366

Active Life, Llc is a Prosthetic/Orthotic Supplier based in Albuquerque, CA. Active Life, Llc practices in Glendale, CA. The NPI Number for Active Life, Llc is 1215983366 and holds a License No. (California).

The current practice location address for Active Life, Llc is 1577 E Chevy Chase Dr, Glendale, CA and can be reached out via phone at 818-495-4610 and via fax at 818-484-2812.

Location: 1577 E Chevy Chase Dr, Glendale, CA, 87108-2940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215983366
Provider Name
Active Life, Llc
Credential
Provider Entity Type
Organization
Address
1577 E Chevy Chase Dr, Glendale, CA, 87108-2940
Phone Number
818-495-4610
Fax Number
818-484-2812
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
XC0009601 05 CA
institution
Provider Business Practice Location Address Details
Address
1577 E Chevy Chase Dr
City
Glendale
State
California
Zip
91206-4107
Phone Number
818-495-4610
Fax Number
818-484-2812
person
Provider Business Mailing Address Details
Address
1577 E Chevy Chase Dr
City
Glendale
State
California
Zip
91206-4107
Phone Number
818-495-4610
Fax Number
818-484-2812
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(California)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.